KRISHNASWAMY JAYADEVAN

HOLBROOK, NY
NPI1184849309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  034016)
Enumeration Date2007-04-14
Last Update Date2007-07-08
Business Address
Dr. KRISHNASWAMY JAYADEVAN DDS
5801 SUNRISE HWY
HOLBROOK, NY 11741-4841
Phone number: 631-567-8899
Mailing Address
Dr. KRISHNASWAMY JAYADEVAN DDS
13 BELL CIR
PORT JEFFERSON, NY 11777-1272
Phone number: 631-928-5766